Deck 8: Home Care

Question 1

The home health agency is operated by federal and state organisations and financed by taxes. This is an example of which type of agency?

A) Private.
B) Institution-based.
C) Not-for-profit.
D) Official.

Answer 1

Official.

Question 2

A home health nurse explains the procedures for preventing infection in a client's percutaneous endoscopic gastrostomy (PEG) device and has the client's spouse watch while the nurse hooks the client to the enteral feeding bag. The nurse is acting in which of the following roles?

A) Educator.
B) Caregiver.
C) Advocate.
D) Coordinator.

Answer 2

Educator.

Question 3

A home health client lives alone in a small flat in a neighbourhood that is unsafe because of gang activity. There is only a landline telephone in the flat. What safety recommendation might the home health nurse suggest?

A) Suggest the client move to a nursing home or assisted living dwelling.
B) Recommend that the client enrol in an emergency response system.
C) Recommend that the client engage a live-in carer.
D) Recommend that the client apply for a MedicAlert system.

Answer 3

Recommend that the client enrol in an emergency response system.

Question 4

Home care nursing is a fast growing sector of the health care system. Which of the following factors have not contributed to the growth of home health care?

A) Increase in clients with chronic conditions.
B) The need for custodial care.
C) The increase in the older adult population.
D) Cost of hospital care.

Question 5

A vision-impaired client, living on his own is receiving palliative home care. The nurse determines that in the event of an emergency the client is unaware of options available. What strategies may the nurse employ?

A) Educate the client's neighbour on basic life support.
B) Organise a daily visit from the nurse.
C) Post a list of all emergency telephone numbers on the fridge.
D) Assist with the acquisition of an emergency response system.

Question 6

A home health organisation that is financially supported through charities, donations and endowments is categorised as:

A) public.
B) private.
C) voluntary.
D) institution-based.

Question 7

An elderly client has been discharged home after a short illness and stay in acute care. The physician has written an order for home health follow-up. In order to better understand the need for any assistive devices, when should the home health nurse make an assessment?

A) When the spouse is available to assist.
B) At the initial home visit, in order to see the client in the home environment.
C) After the client has been home a few days and can help the nurse decide what is needed.
D) While the client is still in the hospital.

Question 8

Home health nurses experience a variety of challenges in caring for their clients, because unlike the acute care setting:

A) there is a difference in the power balance.
B) there is a difference in the control balance.
C) there is a variety of different settings.
D) All of the above.

Question 9

Which of the following have been identified by home health nurses as significant advantages in caring for individuals and families in the home?

A) Intimate setting, familiarity, connections and sharing.
B) Being away from a hospital setting, lower costs and lengthy periods between visits.
C) Easier consultations between specialised services, lower costs and intimate setting.
D) Lower costs, specialist services and easier consultations.

Question 10

The nurse working in a rural home care practice can experience some negative aspects in the role. These include:

A) having to travel long distances.
B) uncontrolled and unsafe environments.
C) lack of adequate resources.
D) All of the above.

Question 11

Skills and abilities for nurses in hospitals or in homes include assessment and planning for the client's response to health problems. However, in the home environment those skills include:

A) the home environment.
B) the caregiver and the home environment.
C) relationships, home and community environment.
D) the caregiver.

Question 12

A family contacts the home health nursing service and discusses the needs of a member of the family. It is anticipated that the new client will require the services of the home health nurse, speech therapy, physical therapy and custodial care several times a week. When can the client's care begin?

A) The care has already begun.
B) As soon as the nurse consults and liaises with the health care professionals regarding a client's care.
C) When the medical officer signs the referral.
D) Within 48 hours of the nurse's visit.

Question 13

The educator role of the home health nurse focuses on teaching illness care, the prevention of problems, and the promotion of wellbeing to the client and the family. This will be based on:

A) the client's living conditions.
B) the client's medical information being accessible to all carers.
C) helping the client cope with any emergency.
D) the needs of the client and the family.

Question 14

A client who has been the recipient of home health care has made the decision to discontinue haemodialysis. The client understands all the consequences of this decision and is not supported by his family. The nurse is meeting with the family to help them understand the significance of the client's decision and to help them support the client during this difficult time. In this situation, the nurse is acting in which of the following roles?

A) Advocate.
B) Educator.
C) Counsellor.
D) Caregiver.

Question 15

A nursing student wants to understand the difference in care delivery between home health nursing and community nursing. Unlike the community nurse, the focus for the home health nurse is which of the following?

A) The client in a home setting.
B) Individuals, families and groups.
C) The terminally ill client and his or her family.
D) The individual and his or her family.

Question 16

Individuals requiring home and community care services will be asked to contribute to the costs of the services. Which of the following will be used in assessing costs?

A) The need of multiple levels of care.
B) The client's financial capacity.
C) The need of skilled care required.
D) The client living alone or within a family.

Question 17

Which of the following roles will the home health nurse be involved in?

A) Signing of initial referral, practice nurse, financial consultant and supervision.
B) Consultation and liaison, research, prescribing medications and supervision.
C) Hands-on care, educator, management and supervision.
D) Prescribing of medications, management, research and practice nurse.

Question 18

A home health client has a complicated case involving occupational therapy, respiratory therapy, a dietitian, the nurse, and a nurse's aide who provides assistance with bathing, housekeeping and grocery shopping. Who is responsible for coordinating the client's care?

A) Nurse.
B) Physician.
C) Home health agency.
D) Social worker.

Question 19

Home health care is a specialty that:

A) delivers care to the community.
B) delivers care to nursing homes.
C) delivers care in individual homes.
D) delivers care in orphanages.

Question 20

A home health client has terminal cancer and has signed a DNR (do not resuscitate) order. The client has a respiratory arrest during one of the home health nurse's visits. The client's spouse tells the nurse to call the emergency services. The nurse should:

A) ignore the spouse.
B) remind the spouse of the client's desires.
C) start CPR.
D) call 000.

Question 21

A home health nurse has a weekly visit to a client living in less than desirable cleanliness. The client has a central venous access device and requires weekly infusion therapy. What is the best way for the nurse to protect the client against infection?

A) Have the client wash her hands before the infusion begins.
B) Suggest that the client have a housekeeper come on the morning of the infusion.
C) Help the client clean the room before starting the infusion.
D) Practice strict aseptic technique during the infusion process.

Question 22

The home health nurse is concerned that a client's carer is suffering role strain. In order to clarify what the issues are, the nurse would:

A) tell her to put the client in a nursing home.
B) ask the caregiver about normal day activities or problems.
C) offer to get some respite care.
D) tell her to ask other family members to take over.

Question 23

A home health nurse is visiting a client when the caregiver says that she is unsure if she can continue any longer. The nurse notices that the caregiver looks very tired and the home is unusually untidy. The nurse recognises that this could be a sign of:

A) laziness.
B) irresponsibility.
C) role strain.
D) disability.

Question 24

The role of the home health nurse is assessing, exploring and supporting the client's actual and potential health problems. Concerns and findings are discussed with the client and the client's spouse. The nurse should also:

A) provide the spouse with certain telephone numbers.
B) not bring the subject up again.
C) discuss the client's potential problems with the spouse.
D) document the findings and the client and spouse's responses to concerns raised.